Tracy Marie Rodden-Larson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

60 Hall St
Fairbanks, AK 99701-4828

Phone

(907) 452-6434

Fax

(907) 451-6598

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1790039824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HALL ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014828",
            "telephone_number": "907-452-6434",
            "fax_number": "907-451-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HALL ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014828",
            "telephone_number": "907-452-6434",
            "fax_number": "907-451-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDEN-LARSON",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocking Years
• Rocking Years
• Rocking Years Assisted Living II
• Rocking Years One
• Rockng Years Two
• Bryan Rodenberger
• Reissac Rodriguez Rodriguez
• Adrianna Rodriguez
• Alyssa Brianna Rodriguez
• Anita M Rodriguez

• Case Manager/Care Coordinator in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.